CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan)
Where Can I Get Care?
CareAdvantage CMC covers your health care throughout the United States. The CareAdvantage CMC provider network includes doctors and medical facilities in San Mateo County and San Francisco. If you need care outside of those areas, CareAdvantage CMC will cover needed care you get from out-of-network providers.
Continuity of Care
If CareAdvantage CMC is new for you, you can keep seeing the doctors you go to now for a certain amount of time. You can keep your current providers from the time you enroll for up to 12 months for Medicare and Medi-Cal services if you meet all of the criteria described in the CareAdvantage CMC Member Handbook. This is called continuity of care.
After the continuity of care period ends, you will need to see CareAdvantage CMC network providers unless we make an agreement with your out-of-network doctor.
Getting care outside of the U.S.
CareAdvantage CMC does not cover urgently needed care or any other care that you get outside the United States. Under your Medi-Cal benefit, you will only be covered if you need emergency service and are admitted to a hospital in either Canada or Mexico.
CareAdvantage CMC does not cover any care outside of those areas and situations. If you travel outside of the United States, we recommend you buy supplemental travel insurance.
Find a provider
- Search by provider name, health plan, location or type of provider
- Click on a provider's name in the search results to see additional information
- Search results include links to interactive maps and directions
- Print or save the information for individual providers
- Weekly updates ensure you get the most accurate results
Request a Printed Copy
If you would like a provider directory mailed to you, please send an email to firstname.lastname@example.org with the following information:
- Your first and last name
- Daytime phone number (in case we need to call you about your request)
- Mailing address
- Which program's provider directory you are requesting (HealthWorx HMO, ACE, CareAdvantage CMC, Healthy Kids HMO, or Medi-Cal)
The provider directory is updated every week; however there may be incorrect or new information about a provider that has not yet been updated. If you find an error, please send us the correct information by using the Provider Directory Error Report Form.
CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Limitations and restrictions may apply. For more information, call the CareAdvantage Unit or read the CareAdvantage CMC Member Handbook.
Benefits and co-pays may change on January 1 of each year.
If you speak other languages other than English, language assistance services, free of charge, are available to you. Call 1-866-880-0606 (TTY: 1-800-735-2929). (Download this statement in multiple languages.)
Page updated August 14, 2018